Individual provider Active NPI

Danae McMillan

  • Physical Therapy Assistant
  • Rio Rancho, NM
National Provider Identifier
1083336267
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1427 Issued in NM
Practice address
4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932
Phone
(505) 896-4978
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1427 NM Primary

Addresses

Primary practice location

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932

Mailing address

113 Birch CT SE
Rio Rancho, NM 87124-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1427NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Physical Therapy CurrentSince Sep 25, 2022 Accepting new patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124
Phone (505) 896-4978

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1083336267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BIRCH CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245932",
            "telephone_number": "505-896-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.